DR. ADETAYO RICHARD ADEMUYIWA (M.D.) – Internal Medicine Physician, NPI 1407944911
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,780 PULMONARY DISEASE in CA
Provider Addresses for DR. ADETAYO RICHARD ADEMUYIWA (M.D.)
232 Hospital Dr Ste A
Ukiah, CA 954824562
Phone: (707) 467-3189
Fax: (707) 462-0123
Type: Location
10651
ST LOUIS, MO 63141
Phone: (636) 999-9999
Type: Location
Old Highway CC, Festus, River View Township, Jefferson County, Missouri, 63028, United States
STE 2300
FESTUS, MO 630284137
Phone: (636) 937-3121
Fax: (636) 937-4423
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 48 Open Payments records for all available years, with a total value of $1,190.
Total Amount is formed as General ($1,190) + Research ($0) + Ownership ($0) = $1,190.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($461).
Total Amount
$1,190
General + Research + Ownership
Payments
48
Total payment records
General Amount
$1,190
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-10-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111115000028 | I | Pulmonary Disease | MO | TBD |
| I20230726003112 | I | Pulmonary Disease | CA | TBD |
| I20240611003498 | I | Pulmonary Disease | OH | TBD |
| I20251015000661 | I | Pulmonary Disease | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 424 | 312 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 167 | 167 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 94 | 90 | $0 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 84 | 84 | $0 |
| 94726 | Test to determine lung volumes using sensors | 84 | 84 | $0 |
Insurance plans in this area (ZIP 95482)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | MO | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 19 | 19 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Internal Medicine | CA |
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